Active NPI
Verdugo Internal Medicine a Medical Group Inc
- Addiction Medicine (Internal Medicine) Physician
- Glendale, CA
National Provider Identifier
1427149236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- Legal business name
- VERDUGO INTERNAL MEDICINE A MEDICAL GROUP INC
- Practice address
- 1809 Verdugo Blvd
Ste 200
Glendale, CA 91208 - Phone
- (818) 790-6225
- Fax
- (818) 790-6225
- NPI assigned
- Sep 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donald W Barber Jr., MD
- Title
- President
- Phone
- (818) 790-6225
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | CA | ||
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | CA | Primary |
Addresses
Primary practice location
1809 Verdugo Blvd
Ste 200
Glendale, CA 91208
Mailing address
1809 Verdugo Blvd
Ste 200
Glendale, CA 91208
Phone (818) 790-6225
National Provider Directory
National Provider DirectoryLocations
1809 Verdugo Blvd
Ste 200
Glendale, CA 91208
Phone (818) 790-4730
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1188518400000",
"number": "1427149236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1809 VERDUGO BLVD",
"address_2": "STE 200",
"city": "GLENDALE",
"state": "CA",
"postal_code": "91208",
"telephone_number": "818-790-6225",
"fax_number": "818-790-2816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1809 VERDUGO BLVD",
"address_2": "STE 200",
"city": "GLENDALE",
"state": "CA",
"postal_code": "91208",
"telephone_number": "818-790-6225",
"fax_number": "818-790-6225"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VERDUGO INTERNAL MEDICINE A MEDICAL GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-27",
"last_updated": "2007-08-31",
"status": "A",
"authorized_official_last_name": "BARBER",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-790-6225",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "207RA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Addiction Medicine",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
- Verdugo Hills Medical Group, Ipa
- Verdugo Hills Pharmacy Inc (USC Verdugo Hills Professional Pharmacy)
- Verdugo Hills Pharmacy Inc (Verdugo Hills Pharmacy)
- Verdugo Hills Urgent Care Medical Group, Inc. (Verdugo Hills Medical Associates)
- Verdugo Hospice Care, Inc.
- Verdugo Mental Health
- Verdugo Mental Health
- Verdugo Mental Health
- Verdugo Mental Health
- Verdugo Optical
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.